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  • Fakultas Ilmu Kesehatan Universitas Muhammadiyah Pontianak: Form Biodata Alumni TAHUN 2017

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    Awan FOODLicious
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    This document is a biodata form for alumni of the Faculty of Health Sciences at Muhammadiyah University of Pontianak from 2017. It requests information such as name, date and place of birth, address, occupation details, parents' names, motto, phone number, email, education history and major. The completed form should be typed in Word format and emailed to fikesboreneo@gmail.com along with the student's name and student ID number.

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    Form biodata alumni universitas muhammadiyah pontianak

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    Form Biodata Alumni

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    This document is a biodata form for alumni of the Faculty of Health Sciences at Muhammadiyah University of Pontianak from 2017. It requests information such as name, date and place of birth, address, occupation details, parents' names, motto, phone number, email, education history and major. The completed form should be typed in Word format and emailed to fikesboreneo@gmail.com along with the student's name and student ID number.

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    10 views1 page

    Fakultas Ilmu Kesehatan Universitas Muhammadiyah Pontianak: Form Biodata Alumni TAHUN 2017

    Uploaded by

    Awan FOODLicious
    This document is a biodata form for alumni of the Faculty of Health Sciences at Muhammadiyah University of Pontianak from 2017. It requests information such as name, date and place of birth, address, occupation details, parents' names, motto, phone number, email, education history and major. The completed form should be typed in Word format and emailed to fikesboreneo@gmail.com along with the student's name and student ID number.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 1

    FORM BIODATA ALUMNI

    TAHUN 2017
    FAKULTAS ILMU KESEHATAN
    UNIVERSITAS MUHAMMADIYAH PONTIANAK

    BIODATA ALUMNI

    File

    Foto Warna
    3x4

    IDENTITAS
    1. Nama / NIM : ……………………………………..………………………………………………..
    2. Tempat, Tanggal Lahir : ……………………………………..………………………………………………..
    3. JL.Alamat dan no. Rumah : ……………………………………..………………………………………………..
    4. Provinsi dan Kabupaten : ……………………………………..………………………………………………..
    5. Kecamatan dan kelurahan : ……………………………………..………………………………………………..
    6. Pekerjaan (Nama Kantor) : ……………………………………..………………………………………………..
    - BulanTahun Mulai kerja : ……………………………………..………………………………………………..
    - Gaji Perbulan : ……………………………………..………………………………………………..
    7. Alamat/Telp. Kantor : ……………………………………..………………………………………………..
    ……………………………………..………………………………………………..
    8 Judul Skripsi : ……………………………………..………………………………………………..

    9. Nama Orangtua : Ayah……………………………/Ibu……………….……………….


    10. Moto : ……………………………………..………………………………………………..
    11. No.Hp Alumni : ……………………………………..……………………………………………….
    12. Email : ………………………………… .
    PENDIDIKAN
    1. SMA : ………………………………………………………………………
    2. Diploma 3 : …………………………….…………………Lulus Tahun……….
    Alamat Kampus D3 : ……………………………………………………………………….
    3. UNIVERSITAS MUHAMMADIYAH PONTIANAK, Fakultas Ilmu Kesehatan
    Peminatan :

    Pontianak, ……………………………20…….
    Mahasiswa

    Note : (……………………………………)
    *Mohon di Ketik di Word & Di Kirim Ke Email fikesboreneo@gmail.com
    NIM : ………………..

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